0001104659-22-127972.txt : 20221216
0001104659-22-127972.hdr.sgml : 20221216
20221216181646
ACCESSION NUMBER: 0001104659-22-127972
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221215
FILED AS OF DATE: 20221216
DATE AS OF CHANGE: 20221216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHALLCROSS STEVEN A
CENTRAL INDEX KEY: 0001263501
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12584
FILM NUMBER: 221469201
BUSINESS ADDRESS:
STREET 1: C/O ELYS GAME TECHNOLOGY CORP.
STREET 2: 130 ADELAIDE STREET WEST, SUITE 701
CITY: TORONTO
STATE: A6
ZIP: M5H2K4
BUSINESS PHONE: 301 944 6600
MAIL ADDRESS:
STREET 1: C/O ELYS GAME TECHNOLOGY CORP.
STREET 2: 130 ADELAIDE STREET WEST, SUITE 701
CITY: TORONTO
STATE: A6
ZIP: M5H2K4
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Theriva Biologics, Inc.
CENTRAL INDEX KEY: 0000894158
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 133808303
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 9605 MEDICAL CENTER DRIVE
STREET 2: SUITE 270
CITY: ROCKVILLE
STATE: MD
ZIP: 20850
BUSINESS PHONE: (734) 332-7800
MAIL ADDRESS:
STREET 1: 9605 MEDICAL CENTER DRIVE
STREET 2: SUITE 270
CITY: ROCKVILLE
STATE: MD
ZIP: 20850
FORMER COMPANY:
FORMER CONFORMED NAME: Synthetic Biologics, Inc.
DATE OF NAME CHANGE: 20120305
FORMER COMPANY:
FORMER CONFORMED NAME: ADEONA PHARMACEUTICALS, INC.
DATE OF NAME CHANGE: 20081027
FORMER COMPANY:
FORMER CONFORMED NAME: PIPEX PHARMACEUTICALS, INC.
DATE OF NAME CHANGE: 20061214
4
1
tm2232925-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-12-15
0
0000894158
Theriva Biologics, Inc.
TOVX
0001263501
SHALLCROSS STEVEN A
C/O THERIVA BIOLOGICS, INC.,
9605 MEDICAL CENTER DRIVE, SUITE 270
ROCKVILLE,
MD
20850
1
1
0
0
CEO and CFO
Stock Options (right to buy)
0.58
2022-12-15
4
A
0
475000
0
A
2023-01-15
2029-12-15
Common Stock
475000
475000
D
These stock options vest pro rata on a monthly basis over 36 months.
/s/ Steven A. Shallcross
2022-12-16